Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.77 / $99.78 / $124.92	Facility	26	$86.77	$99.78	$124.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $176.68 / $598.01	Professional		$119.87	$176.68	$598.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $231.15 / $891.30	Professional		$137.57	$231.15	$891.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.99 / $181.12 / $277.83	Facility	26	$154.99	$181.12	$277.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $599.05 / $680.75	Professional		$156.71	$599.05	$680.75
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $284.58 / $284.58 / $284.58	Facility	26	$284.58	$284.58	$284.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $284.52 / $936.67	Professional		$145.90	$284.52	$936.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $132.11 / $305.31	Professional		$57.01	$132.11	$305.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.39 / $427.53 / $622.88	Professional		$249.39	$427.53	$622.88
Quartz Facility/Professional Facility Modifier 26 Low / Median / High Price $140.68 / $284.58 / $284.58	Facility	26	$140.68	$284.58	$284.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.01 / $711.00 / $936.67	Professional		$238.01	$711.00	$936.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.40 / $1,036.16 / $1,036.16	Professional		$363.40	$1,036.16	$1,036.16
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $251.74 / $570.79	Professional		$145.80	$251.74	$570.79